IV fluids & fluid balance worksheet with answers

Free printable IV fluids & fluid balance worksheet: 6 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy
maintenance4-2-1? mL/h19 kg

Practice exercise (made-up values, not clinical guidance). Use the Holliday–Segar 4-2-1 rule to find the hourly maintenance fluid rate R in mL/h for a child who weighs 19 kg.

19 kg4-2-1
R = mL/h
2.Easy
maintenance4-2-1? mL/h11 lb

Practice exercise (made-up values, not clinical guidance). A child weighs 11 lb. Using 1 kg = 2.2 lb and the Holliday–Segar 4-2-1 rule, find the hourly maintenance fluid rate R in mL/h.

11 lb1 kg = 2.2 lb4-2-1
R = mL/h
3.Medium
IntakeOutput12-hour shiftwater120 mLmilk100 mLjelly100 mLIV infusion100 mL/h × 12 hIV antibiotic1 × 50 mLurine375 mLurine275 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 12-hour shift. The IV infusion ran at the rate shown for the whole shift. Find the fluid balance B = intake − output in mL (a negative answer means a net loss).

water: 120 mLmilk: 100 mLjelly: 100 mLIV infusion: 100 mL/h × 12 hIV antibiotic: 1 × 50 mLurine: 375 mLurine: 275 mL
B = mL
4.Medium
IntakeOutput8-hour shifttea200 mLjuice100 mLmilk240 mLIV infusion50 mL/h × 8 hIV antibiotic1 × 50 mLurine350 mLurine450 mLurine200 mLurine275 mL

Practice exercise (made-up values, not clinical guidance). The record shows a patient's intake and output for one 8-hour shift. The IV infusion ran at the rate shown for the whole shift. Find the total intake I in mL.

tea: 200 mLjuice: 100 mLmilk: 240 mLIV infusion: 50 mL/h × 8 hIV antibiotic: 1 × 50 mL
I = mL
5.Hard
500 mL100 mL/hstart 07:1508:15: ? mL

Practice exercise (made-up values, not clinical guidance). A 500 mL bag was started at 07:15 and runs by pump at 100 mL/h. How many mL V are left in the bag at 08:15?

500 mL100 mL/h07:15 → 08:15
V = mL
6.Hard
1000 mL350 mL infused50 mL/h14:00t = ? h

Practice exercise (made-up values, not clinical guidance). A 1000 mL bag runs by pump at 50 mL/h. At 14:00, 350 mL have already been infused. How many hours t until the bag is empty? Round to one decimal place.

1000 mL350 mL infused50 mL/h
t = h

Answer key

  1. 1. R = 58 mL/h
  2. 2. R = 20 mL/h
  3. 3. B = 920 mL
  4. 4. I = 990 mL
  5. 5. V = 400 mL
  6. 6. t = 13 h

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